Happy to share the publication of a very interesting case report, published in the 'Journal of Orthopedic case reports'. The first author is the renowned spine surgeon @modispine (Dr. Hitesh Modi)
The Patient has a spinal tumor which was thought to be the cause of the Quadriparesis.
However, it turns out the patient has hypokalemic period paralysis secondary to Primary aldosteronism
The patient made a full recovery with medical management

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More from @omlakhani

7 Feb
#ClinicalPearl #MedTwitter

GLP-1 and GIP are both incretin hormones. Incretins are the X factor in the pathogenesis of type 2 diabetes and are a key component of the 'Ominous octet' - the 8 factors that cause type 2 diabetes. Contd..
But GLP-1 and GIP have subtle differences
GLP-1 inhibits insulin and also inhibits glucagon secretion
Read 8 tweets
15 Oct 20
Happy to share the new 'Libre' is officially launched in India. Got my demo from the Abbott representative today.

@IndiaESI #EndoTwitter

(A thread...)
Of course, I had been using the Libre for more than a year now, but here are some of my thoughts on the new launch from Abbott
Pro 1 :

The device comes with a built-in Glucometer and Ketone meter. The strips from Abbott's FreeStyle Optium glucometer can be used for the purpose
Read 12 tweets
28 Sep 20
@shuomi3 is a very smart guy.I love his YouTube videos on note making, especially the one on Zettelkasten method for research. I have made a modified easy to understand modification of the same for doctors and medical researchers, read on...
The first step make small notes while reading a review article or a research paper in your own words. @shuomi3 calls this "Literature notes"
For example while reading a review article of "Hypophysitits" , I came across a great clinical pearl that if we have a male with hypophysititis, we have to consider IgG4 disease. Goes into my Roam notes.
Read 6 tweets
27 Sep 20
Starting my "Dopamine Detox" today.

Taking it slow, step by step because I have failed several times before.

Removed all the unncessary apps like Facebook, Twitter, all the financial trackers etc from my phone. They can now be accessed only via my tablet.
Irony that I am writing this on Twitter. Still couldn't offload WhatsApp from my mobile phone, but will try it in the next phase. Wish me luck.
You will continue to see content from me on Twitter, Facebook, Linkdin and WhatsApp, but only quality and meaningful contents and interaction.
Read 4 tweets
26 Sep 20
This is an amazing story. My father would be interested to know this
My father is a working professor of medicine. Been in academics all his life. Back in the day, he was very interested in neurology and took up DM Neurology in Mumbai
When he left for DM, he was already working as an Assistant Professor in a government medical college and he had to leave the job for obvious reason to join the DM course. We were living in staff quarters which we had to vacate.
Read 9 tweets
23 Sep 20
I am sure you have heard of the term "Getting into the zone" or being in the "Flow state"
"In positive psychology, a flow state, also known colloquially as being in the zone, is the mental state in which a person performing some activity is fully immersed in a feeling of energized focus, full involvement, and enjoyment in the process of the activity"
Everybody gets into the "Flow state" with some work or hobby
Read 7 tweets

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